JUSTIN PATRICK

SOUTHFIELD, MI
NPI1366120982
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601011860)
Enumeration Date2023-07-05
Last Update Date2023-10-18
Business Address
JUSTIN PATRICK PA
24725 W 12 MILE RD STE 260
SOUTHFIELD, MI 48034-8310
Phone number: 248-382-8052
Mailing Address
JUSTIN PATRICK PA
2701 PARK AVE
DETROIT, MI 48201-3041
Phone number: